Gregory M Nierengarten, DO

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

20844 Issued in WI

Practice address

1555 S Layton Blvd
Milwaukee, WI 53215

Phone

(414) 385-6600

Fax

(414) 385-6612

NPI assigned

Nov 21, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316012024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3795 W HOLMES AVE",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532212515",
            "telephone_number": "414-282-3934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 S LAYTON BLVD",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53215",
            "telephone_number": "414-385-6600",
            "fax_number": "414-385-6612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIERENGARTEN",
        "first_name": "GREGORY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "WI",
            "license": "20844",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30013700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Randi J Niedfeldt, PA
• Amy Getz Niedziela, DDS
• Tina J. Nielsen, RN, CEN, APNP, ACNS-
• Torsten Nieminen
• Anna Niemuth, LAT
• Amelia C Niesen, RN
• Jenna Niess, PSY.D.
• Edith Marisela Nieves
• Kevin Michael Nieves, RN, DNP, FNP-C
• Rebecca Jane Nieves, PA-C

• Adult Medicine Physician in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Adult Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.